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General NPI Number Information
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NPI Number | 1891013496
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Entity Type | Organization
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Legal Business Name | MOREHOUSE PARISH HOSPITAL SERVICE DISTRICT 1
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Dates
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Enumeration Date | 05/07/2010
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 425 S VINE ST
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City | BASTROP
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State | LA
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Zip | 71220-4513
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Country | US
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Telephone | 318-283-3960
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Fax | 318-239-8960
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Provider Business Mailing Address
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Address Line | PO BOX 293
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City | BASTROP
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State | LA
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Zip | 71221-0293
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Country | US
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Telephone | 318-283-3620
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Fax | 318-239-8620
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | ELMORE PATTERSON
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Credential |
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Telephone | 318-283-3602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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